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r.. .� <br /> ' PEQtNfIT APPLICATION <br /> � <br /> OFFICE USE ONLY <br /> � �- . - ' - PUBLIC->:WORKS=USE�ONLY. - - -, .- � --- _ - _ � - <br /> I � <br /> Concrete (min. 6'� Y N � <br /> � <br /> Asphalt Base (min. 6'� Y N � <br /> Asphalt(min. 1�/z'� Y N � <br /> � <br /> Length (min. 19� Y N ( ��— � <br /> � <br /> Width (10'min—20'max) Y N � � — � <br /> � <br /> Existing side�valk. Y N � <br /> � <br /> New sidewalk. Y N � <br /> � <br /> ADA compliant. Y N � <br /> � <br /> Expansion material required. Y N � <br /> � <br /> Contiguous parking pad. Y N � <br /> � <br /> Triangular flare(311V x 7'L) Y N � <br /> � <br /> Visibility triangle o.k.? Y N � <br /> � <br /> Side set back (3'min. R.O.W.) Y N � <br /> � <br /> Plan Review Fee � <br /> � <br /> ,..... , .._.j ..._... .:, _. ....; .-�;: -- ;�. �_...._,_ . : ._.. ,, - - ��� �. _ -� ,�� � . - �.:.. ::<:--. :__ ..� �. ,: : -== .._ .. .�r.. . . .. . ... .. . <br /> �Additional descri�_tion of:workas;defned b`;.Public Wo.�ks D�rector:and'o'rdesi nee: °..�.�..:::.;`-�°__�;.:.-�,°_`:;,�_:�:�._ <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> I <br /> Permit application approved by: � Date: <br /> � <br /> i <br /> Page 3I of 3 <br /> � <br />